One of the most misunderstood procedures in dentistry is root canal treatment. If your dentist recommends this procedure, you might be quick to turn to the internet or other sources to learn about it. Unfortunately there is a lot of unreliable information out there, which can scare you away from needed treatment.
There are some common myths that circulate about root canal therapy. Instead of avoiding treatment, learn the truth about this procedure that may be the most effective way to save a damaged tooth.
Myth: Root canal treatment is very painful.
Truth: This procedure often serves to relieve pain instead of creating it. With the anesthetics and sedation dentistry available today, in most cases the procedure feels like simply getting a filling.
Myth: You don’t need root canal treatment unless you are experiencing severe tooth pain.
Fact: Pain is not always present when root canal therapy is advised by your dentist. A tooth that has died may no longer trigger pain, but treatment is necessary to eliminate infection and save the tooth. Diagnostic tests are available to help your dentist diagnose tooth problems even when pain is not present.
Myth: The benefits of root canal treatment are short-lived.
Fact: This treatment provides durable and long-lasting results, potentially for a lifetime. Since the tooth is usually topped with a crown, it can be protected indefinitely.
Myth: Root canal treatment causes illnesses.
Fact: This is one of the most common misconceptions you might run across on the internet. Based on very old research that has been proven to be wrong, the myth still exists that root canal therapy might cause various diseases. Instead, root canal treatment is safe and only improves your oral and overall health.
Myth: Tooth extraction is an adequate alternative to root canal therapy.
Fact: Dentists agree that saving your natural tooth is almost always preferred over a traumatic procedure like tooth extraction. The benefits of keeping your restored real tooth are better than having a hole in your smile or requiring tooth replacement solutions.
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When a tooth is seriously decayed or has become infected, a root canal procedure can be done to repair the tooth and save it. During the procedure, the nerve and pulp are removed, while the remainder of the center of the tooth is thoroughly cleaned and then carefully sealed to prevent infection.
“Root canal” is the term for the natural space within the tooth’s center. The tooth’s nerve is in the root canal, as is the pulp (or pulp chamber), which is the soft area within the root canal. Because the tooth’s nerve isn’t vital to a tooth’s health, removing it doesn’t prevent the normal functioning of the tooth.
Removing the nerve and the pulp is necessary in some cases to address irritation, inflammation and infection stemming from severe decay, damaged or deep fillings, cracked or chipped teeth or facial trauma. When the nerve tissue and pulp become damaged, bacteria begin to form within the pulp chamber. This can lead to a serious infection or abscessed tooth. An abscess can form when the infection spreads past the ends of the tooth roots.
Additionally, severe infections can lead to bone loss around the tip of the root or holes in the tooth that drain the infection into the gums or through the cheek into the skin. It can cause swelling that spreads to the face, head, or neck.
Sometimes, the only signs you need a root canal procedure are more minor. They can include tooth pain when applying pressure or chewing, discoloration (darkening) of the tooth, tenderness and/or swelling of the gum tissue, or a pimple or blemish on the gums that is recurring. Acute sensitivity to cold or hot temperatures that does not abate with time can also be a sign.
Talk to your dentist or endodontist (a dentist whose specialty is the cause, diagnosis, prevention, and treatment of diseases and trauma to the dental pulp or nerve of the tooth) about your concerns. Your dentist will know what to do so you may make the best decisions for your long-term tooth health.
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If you are about to undergo root canal treatment to save a compromised tooth, your oral surgeon or dentist will likely provide you with a list of aftercare instructions. It is vitally important that you follow these recommendations to avoid complications and ensure the success of your endodontic treatment.
There are a few tips you can follow to speed up your recovery time, promote healing, and prevent serious dental problems and infections following root canal treatment:
- Do not chew on the treated side of your mouth until all of the numbness from the anesthetic has worn off completely.
- To manage swelling, apply an ice pack or bag of frozen peas on the treated area for thirty minutes. Repeat once an hour for about fifteen minutes each time until swelling subsides.
- For several nights after treatment, keep your head elevated while sleeping.
- Gently rinse your mouth with warm salt water regularly for the first few days after root canal treatment.
- Refrain from smoking for a minimum of 24 hours and try to curb tobacco usage as much as possible during the healing period.
- Avoid strenuous physical activity or exercise for 48 hours after your root canal procedure.
Contact your dentist immediately if you experience any excessive swelling or pain, the appearance of a rash or hives, or a return of original symptoms. By listening to the recommendations of your dentist, and following these extra tips, you can assure yourself the best chance of a rapid and complication-free recovery from root canal treatment.
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If the prospect of a root canal procedure has you running for the hills, you may want to consider reading over this list of frequently asked questions before you end up cowering in a corner:
- What is root canal therapy? Root canal treatment is performed when decay or trauma has damaged a tooth causing it to die. A dentist or endodontist performs a procedure to remove the diseased or damaged pulp from the tooth and then refills the tooth cavity.
- Is root canal therapy painful? In reality, root canal treatment is intended to relieve pain, not cause it. Because the procedures are very similar, you should experience no more discomfort than having a cavity filled.
- What happens after root canal therapy? Your tooth may be slightly sensitive for a few days, but over-the-counter pain relievers are usually sufficient to relieve any pain you may experience. In order for your tooth to return to full functionality, a crown or other restoration will need to be placed after the root canal therapy is performed.
- What if I opt not to choose root canal therapy? Untreated damage or infection in your tooth can travel through the roots and lead to an abscess or larger infection.
- Is there an alternative to root canal therapy? You could relieve the pain and infection by having your tooth removed. However, this can cause problems such as bone loss, migration of teeth, and bite problems.
In the case of a severely damaged or decayed tooth, the ideal solution is to save your natural tooth through root canal therapy and restoration. Contrary to popular belief, a root canal procedure is no more uncomfortable than having a filling placed in a cavity, and can have enormous benefits to your long-term oral health. Consult with your dental professional to get answers to any other questions or concerns you may have regarding root canal therapy so you can alleviate your fears and return to your healthy smile.
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The goal of root canal therapy is to relieve pain, not cause it. The pain you experience before a root canal is the result of damage to the tissues in the tooth. Root canal therapy removes that damaged tissue, therefore relieving the discomfort you feel. If you are still experiencing tooth pain after undergoing a root canal procedure, it could be an indication of a problem with the treatment.
While mild discomfort is to be expected during the root canal healing process, if the pain continues or becomes more severe, it is likely an indication of a problem. There are several reasons for tooth pain after root canal treatment:
- The tooth has an extra canal that was not cleaned and filled, meaning there is an extra physical root.
- The tooth has a small, tight accessory canal that is difficult to locate on x-rays or hard to access with the necessary tools.
- The tooth is fractured due to the damage and weakened state caused by the original decay and the access cavity that is created to begin the root canal treatment.
- The root canal has become reinfected.
- The small files used by your dentist to clean out the pulp of the tooth sometimes break, resulting in a failed root canal treatment.
In the days immediately following root canal therapy, it is normal to experience some tenderness of the tooth or surrounding gum. This discomfort should be easily managed with over-the-counter painkillers and should subside in a few days. If the pain does not ease in a few days or becomes more severe, contact your dental professional immediately to access your symptoms and determine if you are having root canal complications.
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An aching tooth can make your life miserable. Pain, difficulty eating, inability to sleep, headaches and earaches are some of the problems that often accompany a toothache. If you have any of these symptoms and suspect a damaged tooth, a trip to the dentist is in order to see if root canal treatment might be needed.
What is root canal therapy? Although it has gotten a bad reputation over the years, it is the best way to save your tooth once infection has set in. The cause for the problem can vary, including deep tooth decay, a faulty crown, trauma, or repeated dental procedures. Once the inside of the tooth called the pulp becomes damaged, root canal treatment is the ideal solution. If you don’t seek treatment, severe pain and possible tooth loss may be in your future.
During root canal therapy, the damaged tooth pulp is carefully removed so that the interior of the tooth can be thoroughly cleaned and disinfected. Then the tooth is filled and sealed using a special material. Finally, the tooth is fully restored with a crown or filling to offer protection from future damage.
What are the positive outcomes of root canal treatment? First, it gives you back the complete function and natural appearance of your real tooth. You avoid getting a hole in your smile or needing a procedure like a dental implant. Root canal treatment restores your normal sensation and biting force, providing for efficient and painless chewing. This treatment also protects other teeth from receiving excessive wear, since your real tooth remains in place and able to take its fair share of tooth wear. Of course, treatment will also relieve the pain and other symptoms associated with your damaged tooth.
Root canal treatment is usually quite simple when performed by a qualified dental professional. Modern techniques allow the process to be as comfortable as just getting a normal filling. The procedure may be completed in only a couple of appointments and the end result will be a long-lasting, healthy tooth.
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